Rise Small Business Financing Application

Your Skills
What skills and experience do you have that are relevant to the business? Specify the number of years of experience working in the business or industry. *
Financing
Rise provides financing up to $10,000. If you are asking for more than $10,000, please consider modifying your financing request.
What is the total amount of financing you are requesting from Rise? ($) *
What will you use the loan funds for? (e.g. purchase equipment, rent space, marketing, etc.) *
Why do you think that you will be able to pay back this loan? *

Your Health
Tell us about your mental health.
What kind of supports do you currently have to help you manage your mental health? *
How would you recognize if you are experiencing a mental health challenge? *
Your References
During the process of securing a Rise loan, we will need to call two personal references who are not family members. You should start thinking about who your two references will be and be prepared to provide their names and contact information when requested.
I understand that I will need to provide two references to Rise as part of the lending process *

Yes
Who should we contact in case of an emergency or loss of contact with you?
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Name
Emergency Contact E-mail
Emergency Contact Phone Number *

Area Code Phone Number
Emergency Contact Relationship to You *
Initial Consent Form
1. Consent to Collection, Use and Disclosure of Your Personal Information by Us 

We take your privacy very seriously. A full copy of our privacy policy is available upon request or by visiting our website at  www.RiseHelps.ca

For Lending Applicants
We will need to collect personal information from you to determine whether to make you a loan and if we do make you a loan, administer that loan and collect the loan from you if you fail to pay us. The information we collect may include but is not limited to your name, birth date, home address, financial status, bank account details for payments, your business plan and ideas for use of this loan, and medical information about you.

We will use your personal information for the following purposes:

• Process your submitted application;
• To administer your loan;
• Build relationships, facilitate networking opportunities and match you with a mentor;
• Assist with administrative or technical support of your loan and business;
• Gather opinion and feedback through surveys;
• Comply with Canadian legal and regulatory requirements;
• Maintain statistical and record keeping operations.

Your personal information may be collected, used or disclosed for any of the identified purposes set out above. We will not use or disclose it for other purposes without obtaining additional consent from you.

Please note that your consent is necessary for us to process your loan application and administer this loan if advanced to you. You may withdraw your consent at any time upon reasonable written notice, subject to legal or contractual restrictions. Please note that the withdrawal of consent will affect our ability to provide you with the products and services that you would like to receive.
To achieve the identified purposes listed above, your personal information may be shared with third parties such as government or industry agencies, our bank processing your payments, mentors and advisors to your business, credit reporting agencies, insurers, financial products dealers and financial institutions.

Sometimes you may be working with a referral agency to help you prepare your business plan and start up your business. In this case, your personal information may be shared with this third party, based on your consent.

For Training Applicants
We will need to collect personal information from you to process your application and for administrative purposes if you are accepted. The information we may collect may include your name, birth date, e-mail address, phone number, home address, demographic data, financial status, your business idea and business plan.

We will use your personal information for the following purposes:

• Process your submitted application;
• Build relationships, facilitate networking opportunities and match entrepreneurs like you with mentors;
• Assist with administrative or technical support of your participation in the program and your business;
• Gather opinion and feedback through surveys;
• Comply with Canadian legal and regulatory requirements;
• Maintain statistical and record keeping operations.

Your personal information may be collected, used or disclosed for any of the identified proposes to set out above. We will not use or disclose it for other purposes without obtaining additional consent from you.

Please note that your consent is necessary for us to process your application and for administrative purposes if you are accepted. You may withdraw your consent at any time upon reasonable written notice, subject to legal or contractual restrictions. Please note that the withdrawal of consent will affect our ability to provide you with the products and services that you would like to receive.
To achieve the identified purposes listed above, your personal information may be shared with third parties such as government or industry agencies, mentors and advisors to your business.

Sometimes you may be working with a referral agency to help you prepare your business plan and start up your business. In this case, your personal information may be shared with this third party, based on your consent.

By submitting this form you are authorizing Rise Asset Development to collect, use, or disclose your personal information that you provide to us for the identified purposes listed above.

2. Credit Reporting Law Notice

If you are applying for a loan, Rise Asset Development requires you to obtain and provide us with a Credit Report and Credit Score that is dated no more than three months prior to review. That credit report and score will be considered by us as part of our review process for your loan application in deciding whether to lend you funds.

3. Canada’s Anti Spam Law

From time to time Rise Asset Development may wish to send you e-mails as part of the administration of your loan or participation in a Rise Training Program or to provide advice to your business. We also send out group e-mails providing information such as program updates, event information or other information of interest to our clients.

We need to collect and use your personal information to process your application.

To be considered for any Rise Program, you must consent to our Privacy Policy and Terms & Conditions.
I agree to the Privacy Policy and Terms & Conditions *

I authorize Rise Asset Development to contact:

contact the following referral agency or agencies for the identified purposes listed above:
Can contact referral agencies
Referral Agencies
I authorize Rise Asset Development to:

1. use my Email address to administer my application and my loan if one is granted to me 2. keep my name on an Email distribution list to receive information
Use my Email address for Loan
Email distribution list
Confirm E-mail Address:
You may unsubscribe at any time by contacting Rise at 105 St. George Street, Toronto, Ontario M5S 3E6 or by phone at: 647-232-7473 or by email at: Info@RiseHelps.ca
Consent to Collection, Use and Disclosure of Your Personal Information *

I have read the foregoing and consent to the privacy, credit report, and anti spam provisions set out above:
Consent Given
Signature

Clear
Should be Empty:

Rise Financing Application

Initial Consent Form